Taimie's Order Form
print and mailto:

Taimie Hannum
POB 15545
Beverly Hill , CA. 90209

Membership for Members Only Area -
One Year - $99.99
3 Months - $39.99
One Month - $14.99

Please allow 2 weeks for activation

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Billing Information

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Shipping Information

Please check the box if you do not wish to be added to my mailing list
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Address:
Address 2:
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Credit Card Information - US Residents ONLY
Visa & Mastercard Accepted!

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Please make all checks or money orders payable to Taimie Hannum

Please sign and date below to certify that you are at least 18 years of age!

Signature: ________________________________ Date:___________________